Facility Evaluation Report

Licensing Program Analyst (LPA) Debbie Correia conducted a follow-up Pre-licensing and Component III visit to observe the physical plant for compliance per Title 22, Division 6 of the CA Code of Regulations and Health & Safety codes. LPA Correia was met by Applicant Brikho, identified herself, and was granted entry into the facility.

LPA Correia, accompanied by Applicant Brikho, conducted a tour of the interior and exterior of the facility's physical plant. LPA Correia observed resident accommodations including required furnishings and linens. The resident bathrooms were equipped with non-skid flooring and grab bars, the water temperature read with in regulation, at approximately 118.9 F in bathroom faucets, a secure location for administrative records was observed; as well as a locked cart/rooms for medication and toxins. Sharps will be kept in a locked cabinet. A first aid kit and manual were present. LPA observed an adequate amount of Personal Protective Equipment (PPE) gear. Fire extinguishers are affixed with current tags. Facility smoke and carbon monoxide detectors are present and operable; facility posting requirements were present in a common area and the facility administrators certification is current until December 28, 2025. LPA observed 7 days of non-perishable, perishable food will be observed during post licensure visit. Per Applicant Brikho there are no firearms or weapons on the premises.

Fire clearance has been received and approved. The facility is ready for licensure once reviewed and approved by the program manager.

An exit interview was conducted with Applicant Brikho, and a copy of this report and Licensee Rights (LIC 9058) were given for facility records.